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Case 6
Presented by: Maurizio Colecchia
Clinical History
A previous healthy 56-year-old man presented with testicular swelling and pain. Ultrasound examination showed a cm.3 nodule in his right testis. Intercavoaortic, mesenteric and celiac lymphnodes adenopathies were found at ultrasonography of retroperitoneum. Two liver metastases were found. Ultrasonography of neck, standard Rx of neck and chest were unremarkable. The gross examination showed a cm.5x4x3 right testis with a normal funicle: the parenchima contained a cm.3x2x2 white/yellow, hard, nodular tumor without involvement of the tunica albuginea and adnexa. He underwent right orchifunicolectomy. He was followed up with scintigraphy and PET study, and started the octreotide therapy. He never complained carcinoid syndrome. He is alive 5 years after the surgery with persistent foci of disease in retroperitonal lymphnodes and liver.
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WELL DIFFERENTIATED NEUROENDOCRINE CARCINOMA OF THE TESTIS (MALIGNANT CARCINOID)
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Case 6 |
1.9.2007 |
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28.12.2007 |
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